Four-point suture scleral fixation of a hydrophilic acrylic IOL in aphakic eyes with insufficient capsule support

Abstract

In this preliminary study, suturing a hydrophilic acrylic IOL with 4 hollow haptics to the sclera had a low risk for CME and pigmentary dispersion glaucoma.

Transscleral fixation of single-piece foldable acrylic lens with eyelets at the optic-haptic junction

“…However, the procedure punctures and uses 4 points of ciliary sulcus, and it has higher rate of postoperative vitreous hemorrhage (44.4%) compared with our study. 31 Although the reported cases were mild and manageable, the technique should be performed with caution in patients at risk for hemorrhage such as patients with bleeding diathesis or patients taking anticoagulant medication.…”

“…Other studies of transscleral fixation of hydrophilic acrylic IOL that has 4 hollow haptics are also noteworthy. 26,31 Using the symmetrical 4 closed holes in each haptics, the IOL can be sutured securely with well-centred position. However, the procedure punctures and uses 4 points of ciliary sulcus, and it has higher rate of postoperative vitreous hemorrhage (44.4%) compared with our study.…”

Clinical outcomes of combined pars plana vitrectomy and trans-scleral 4-point suture fixation of a foldable intraocular lens

“…The Akreos AO60 (Bausch & Lomb, Rochester, NY) is a hydrophilic acrylic foldable IOL that has a natural build for 4-point fixation because of holes in each haptic. Previous studies have determined the feasibility, safety and efficacy of using this IOL for trans-scleral suture fixation [6][7][8][9][10]. Although SFIOL after PPV as a secondary procedure is common, very few studies have evaluated concurrent PPV and SFIOL [11][12][13].…”

Scleral-Fixated Intraocular Lens: Indications and Results

“…Another IOL designed for being sutured at the sclera, Akreos AO 60 (Bausch & Lomb, Rochester, NY), has four haptics, each with its own eyelet for suture passage. The four-point fixation is theoretically associated with a lesser risk of tilt and dislocation, though there is no study comparing the differences in tilt between CZ70BD and Akreos AO 60 so far [6,7]. Another major difference between the two implants is that Akreos AO 60 is hydrophilic and therefore susceptible to optic opacification by calcium salt deposition in case of air or gas filling of the eye [8].…”